A rare case of osteogenesis imperfecta combined with complete tooth loss.
Identifieur interne : 004893 ( Ncbi/Curation ); précédent : 004892; suivant : 004894A rare case of osteogenesis imperfecta combined with complete tooth loss.
Auteurs : Yanqin Lu ; Fei Zhao ; Xiuzhi Ren ; Zhiliang Li ; Xiaomeng Yang ; Jinxiang HanSource :
- Journal of pediatric endocrinology & metabolism : JPEM [ 2191-0251 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- génétique : Collagène de type I, Ostéogenèse imparfaite.
- imagerie diagnostique : Ostéogenèse imparfaite.
- Adulte, Bouche édentée, Femelle, Humains, Mutation, Mâle, Ostéogenèse imparfaite, Pedigree, Radiographie.
English descriptors
- KwdEn :
- MESH :
- chemical , genetics : Collagen Type I.
- complications : Mouth, Edentulous, Osteogenesis Imperfecta.
- diagnostic imaging : Osteogenesis Imperfecta.
- genetics : Osteogenesis Imperfecta.
- Adult, Female, Humans, Male, Mutation, Pedigree, Radiography.
Abstract
Osteogenesis imperfecta (OI) is a heritable disorder of the connective tissue characterized by blue sclerae, osteoporosis and bone fragility. Dentinogenesis imperfecta type I is commonly seen in OI patients, but other dental impairments, such as tooth agenesis or complete tooth loss, are rarely reported for these patients. Here, we report the case of a 37-year-old female Chinese OI patient who experienced complete tooth loss before puberty. The patient has a family history of OI and her father has a history of tooth loss. She showed obvious OI phenotypes, including a dwarfed stature, blue sclerae, scoliosis, pigeon chest and a history of fractures. Tooth loss began at the age of 6 years and continued until complete tooth loss at 20 years; this occurred in the absence of dental decay, gum disease, accidents or drug usage. Radiological studies revealed osteoporosis of the lower limbs and an underdeveloped scapula. Type I collagen gene analysis identified a known c.2314G>A (p.Gly772Ser) substitution in the COL1A2 gene, which we suggest affects the interaction between type I collagen and extracellular matrix proteins, including cartilage oligomeric matrix protein, phosphophoryn and SPARC (secreted protein acidic and rich in cysteine). In silico prediction indicated a relatively mild effect of the mutation, so it is conceivable that the severity of the clinical phenotype may result from additional mutations in candidate genes responsible for abnormal dental phenotypes in this family. To our knowledge, this is the first report of an OI patient with a phenotype of complete tooth loss at a young age.
DOI: 10.1515/jpem-2013-0069
PubMed: 23934635
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<author><name sortKey="Lu, Yanqin" sort="Lu, Yanqin" uniqKey="Lu Y" first="Yanqin" last="Lu">Yanqin Lu</name>
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<author><name sortKey="Zhao, Fei" sort="Zhao, Fei" uniqKey="Zhao F" first="Fei" last="Zhao">Fei Zhao</name>
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<author><name sortKey="Ren, Xiuzhi" sort="Ren, Xiuzhi" uniqKey="Ren X" first="Xiuzhi" last="Ren">Xiuzhi Ren</name>
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<author><name sortKey="Li, Zhiliang" sort="Li, Zhiliang" uniqKey="Li Z" first="Zhiliang" last="Li">Zhiliang Li</name>
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<author><name sortKey="Yang, Xiaomeng" sort="Yang, Xiaomeng" uniqKey="Yang X" first="Xiaomeng" last="Yang">Xiaomeng Yang</name>
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<author><name sortKey="Zhao, Fei" sort="Zhao, Fei" uniqKey="Zhao F" first="Fei" last="Zhao">Fei Zhao</name>
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<author><name sortKey="Li, Zhiliang" sort="Li, Zhiliang" uniqKey="Li Z" first="Zhiliang" last="Li">Zhiliang Li</name>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mutation</term>
<term>Osteogenesis Imperfecta (complications)</term>
<term>Osteogenesis Imperfecta (diagnostic imaging)</term>
<term>Osteogenesis Imperfecta (genetics)</term>
<term>Pedigree</term>
<term>Radiography</term>
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<term>Bouche édentée ()</term>
<term>Collagène de type I (génétique)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Ostéogenèse imparfaite ()</term>
<term>Ostéogenèse imparfaite (génétique)</term>
<term>Ostéogenèse imparfaite (imagerie diagnostique)</term>
<term>Pedigree</term>
<term>Radiographie</term>
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<term>Osteogenesis Imperfecta</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Osteogenesis Imperfecta</term>
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<term>Ostéogenèse imparfaite</term>
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<term>Mutation</term>
<term>Pedigree</term>
<term>Radiography</term>
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<front><div type="abstract" xml:lang="en">Osteogenesis imperfecta (OI) is a heritable disorder of the connective tissue characterized by blue sclerae, osteoporosis and bone fragility. Dentinogenesis imperfecta type I is commonly seen in OI patients, but other dental impairments, such as tooth agenesis or complete tooth loss, are rarely reported for these patients. Here, we report the case of a 37-year-old female Chinese OI patient who experienced complete tooth loss before puberty. The patient has a family history of OI and her father has a history of tooth loss. She showed obvious OI phenotypes, including a dwarfed stature, blue sclerae, scoliosis, pigeon chest and a history of fractures. Tooth loss began at the age of 6 years and continued until complete tooth loss at 20 years; this occurred in the absence of dental decay, gum disease, accidents or drug usage. Radiological studies revealed osteoporosis of the lower limbs and an underdeveloped scapula. Type I collagen gene analysis identified a known c.2314G>A (p.Gly772Ser) substitution in the COL1A2 gene, which we suggest affects the interaction between type I collagen and extracellular matrix proteins, including cartilage oligomeric matrix protein, phosphophoryn and SPARC (secreted protein acidic and rich in cysteine). In silico prediction indicated a relatively mild effect of the mutation, so it is conceivable that the severity of the clinical phenotype may result from additional mutations in candidate genes responsible for abnormal dental phenotypes in this family. To our knowledge, this is the first report of an OI patient with a phenotype of complete tooth loss at a young age.</div>
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